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The Transition to Adulthood: A Qualitative Study of Autism Spectrum Disorder From Military and Veteran Parents and Military-Dependent Young Adults. 向成年过渡:自闭症谱系障碍的定性研究,来自军人和退伍军人的父母以及依赖军队的青少年。
IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-18 DOI: 10.1093/milmed/usae434
Antonio F Pagán, Mara C Montenegro, Mark Ahlenius, Ana C Ramirez, Miriam Ortiz, Estefani Bernal, Cecilia Montiel-Nava, Jennifer Bittner, Katherine A Loveland, Ron E Acierno

Introduction: Given the unique experiences of military service members and their families, military-dependent young adults (18-25 years old) with autism spectrum disorder (ASD) and their military or veteran families experience unique barriers to accessing quality mental health care during the transition to adulthood. In fact, developing services to address ASD challenges for military families is a burgeoning area of interest for the department of defense. However, there is a limited knowledge on the specific needs of military families as the young adult's transition outside of high school and lose supports.

Materials and methods: The present study conducted 3 focus groups with 16 military and veteran parents, and 3 focus groups with 10 military-dependent young adults to evaluate the needs of military-dependent young adults (17-25 years old) with ASD and military/veteran parents with a young adult with ASD.

Results: Parents reported several key topics, including barriers to services (e.g., permanent change of station, recently moving to a state and lacking awareness of the available resources), defining adulthood in terms working in a cohesive family structure, and therapy recommendations for parents and young adults with ASD transitioning to adulthood. Young adults provided key information, including describing experiences with having a parent in the military, difficulty accessing services during the transition to adulthood, and recommendations on therapy for military-dependent young adults with ASD.

Conclusion: Military and veteran families with autistic dependents lack access to important mental-health resources. When developing programs for military families and military-dependent autistic young adults, mental health providers should consider the frequent relocations, lack of access to important transition resources, and common military values. The presence of advocates at military bases should be encouraged to help military families navigate autism services in their local community.

导言:鉴于军人及其家庭的特殊经历,依赖军队的患有自闭症谱系障碍 (ASD) 的年轻成年人(18-25 岁)及其军人或退伍军人家庭在向成年过渡期间,在获得优质心理健康护理方面会遇到独特的障碍。事实上,为军人家庭开发服务以应对 ASD 的挑战是国防部关注的一个新兴领域。然而,人们对军人家庭的具体需求知之甚少,因为这些年轻的成年人在高中毕业后的过渡时期失去了支持:本研究对 16 名军人和退伍军人的父母进行了 3 次焦点小组讨论,并对 10 名依赖军队的年轻成年人进行了 3 次焦点小组讨论,以评估依赖军队的患有自闭症的年轻成年人(17-25 岁)以及有一名患有自闭症的年轻成年人的军人/退伍军人父母的需求:家长们报告了几个关键主题,包括获得服务的障碍(例如,永久改变驻地、最近搬到一个州以及缺乏对可用资源的了解)、从在一个有凝聚力的家庭结构中工作的角度来定义成年,以及对家长和患有自闭症的青壮年向成年过渡的治疗建议。年轻成年人提供了关键信息,包括描述父母在军队中的经历、向成年过渡期间获得服务的困难,以及对依赖军队的年轻自闭症成年人的治疗建议:有自闭症患者的军人和退伍军人家庭无法获得重要的心理健康资源。在为军人家庭和依赖军队的自闭症青少年制定项目时,心理健康服务提供者应考虑到频繁的搬迁、无法获得重要的过渡资源以及军人的共同价值观。应鼓励在军事基地设立宣传员,帮助军人家庭了解当地社区的自闭症服务。
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引用次数: 0
Prognostic Value of ISS and TRISS Scores in Tunisian Terrorism Victims. 突尼斯恐怖主义受害者的 ISS 和 TRISS 分数的预后价值。
IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-16 DOI: 10.1093/milmed/usae464
Khadija Bahrini, Houcine Horchani, Sana Boughariou, Aicha Rebai, Mohamed Zakraoui, Imen Naas, Hedi Gharsallah, Iheb Labbene, Mustapha Ferjani, Walid Sallemi, Zied Hajjej, Maha Shimi, Hazem Fourati, Chihebeddine Romdhani

Introduction: Injuries caused by terrorism attacks are one of the urgent problems of the society and the health system. In this work, we aimed to assess the injury severity score (ISS) and trauma injury severity score (TRISS) in Tunisian military combatants injured during terrorism attacks.

Materials and methods: A total of 153 victims of terrorism admitted to the Military Hospital of Tunis between January 2012 and January 2017 were included. Among them, 107 survived and 46 died (43 victims died at the terrorist attack scene and 3 died in the hospital). All dead patients were autopsied. Injury severity scores and TRISSs were then calculated by 2 professors in the anesthesia-resuscitation department, and the agreement level was assessed using the Bland and Altman curve.

Results: We obtained a strong agreement between the 2 experts when assessing the TRISS and ISS. Using the Bland and Altman curve, an agreement between the 2 experts was obtained between 0 to 40 and 60 to 75 for the ISS and between 0 to 25 and 75 to 100 for the TRISS. Moreover, we detected a high level of ISS and TRISS, especially in deceased victims compared to survivors (P <.001). To predict mortality, we revealed by the receiver operating characteristic curve high sensitivity and specificity (more than 90%) before day 28 of hospital stay as well as for ISS and TRISS. Regarding the mechanism of injury, patients injured by gunshot have higher ISSs and TRISSs than those injured by explosion (P < .001).

Conclusions: Injury severity scores and TRISSs showed a high reliability to predict the mortality rate in Tunisian victims of terrorism.

导言:恐怖袭击造成的伤害是社会和卫生系统亟待解决的问题之一。在这项工作中,我们旨在评估在恐怖袭击中受伤的突尼斯军队战斗人员的损伤严重程度评分(ISS)和创伤损伤严重程度评分(TRISS):共纳入 2012 年 1 月至 2017 年 1 月期间突尼斯军事医院收治的 153 名恐怖主义受害者。其中 107 人存活,46 人死亡(43 人死于恐怖袭击现场,3 人死于医院)。所有死亡患者均进行了尸检。然后由麻醉-复苏部门的两名教授计算受伤严重程度评分和 TRISSs,并使用布兰德和阿尔特曼曲线评估两者的一致程度:结果:两位专家对 TRISS 和 ISS 的评估结果非常一致。根据布兰德和阿尔特曼曲线,两位专家对 ISS 和 TRISS 的一致程度分别为 0 至 40 和 60 至 75,而对 TRISS 的一致程度则分别为 0 至 25 和 75 至 100。此外,我们还发现,与幸存者相比,已故受害者的 ISS 和 TRISS 水平较高(P 结论):受伤严重程度评分和 TRISSs 在预测突尼斯恐怖主义受害者的死亡率方面显示出较高的可靠性。
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引用次数: 0
Human Papillomavirus (HPV) Vaccination Rates Among U.S. Military Veteran Females and Males and Non-Veterans in the National Health Interview Survey. 全国健康访谈调查中美国退伍男女军人和非退伍军人的人类乳头状瘤病毒 (HPV) 疫苗接种率。
IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-15 DOI: 10.1093/milmed/usae490
Lillian J Dubiel, Kavita S Vinekar, Claire T Than, Neetu Chawla, Katherine J Hoggatt, Elizabeth M Yano, Elisheva R Danan

Introduction: Human papillomavirus (HPV) infection is a major risk factor for the development of multiple cancers. Active duty service members have higher rates of HPV infection than civilians, while Veterans are diagnosed with a disproportionately high burden of HPV-associated cancers compared to civilians without prior service. While a highly effective HPV vaccine has been available for over a decade, vaccination rates in the United States remain suboptimal. The objective of this study was to investigate HPV vaccination rates among male and female Veterans compared with their non-Veteran counterparts.

Methods: We performed a secondary analysis of cross-sectional National Health Interview Survey (NHIS) data pooled from 2015 to 2018 to analyze HPV vaccination rates for respondents aged 18-45 years. We used multivariable logistic regression to compare HPV vaccination rates between Veterans and non-Veterans stratified by sex while controlling for sociodemographic factors, including age, race/ethnicity, education level, income, insurance coverage, and VA coverage. All analyses used NHIS survey weights to produce national estimates.

Results: Among 45,493 respondents aged 18 to 45 years, vaccination rates were low across all groups: 9.6% of male Veterans and 8.4% of male non-Veterans (P = .21) had received at least one HPV immunization, whereas 32.0% of female Veterans and 25.1% of female non-Veterans (P = .02) were immunized. After controlling for sociodemographics, both male Veterans (AOR 1.79; 95%CI 1.31, 2.44) and female Veterans (AOR 1.56; 95%CI 1.1, 2.21) exhibited higher odds of HPV vaccination compared to their non-Veteran counterparts. VA coverage was also independently associated with higher odds of HPV vaccination among female Veterans (AOR 2.39; 95%CI 1.10, 5.21).

Conclusions: Veterans of both sexes are more likely to be vaccinated than their non-Veteran civilian counterparts. However, vaccination rates overall remain low. To our knowledge, ours is the first study of its kind to establish HPV vaccination rates among female Veterans. These findings underscore the important role of DoD and VA health care systems in improving HPV vaccine uptake and mitigating HPV-associated cancer risk among Veterans.

导言:人类乳头瘤病毒(HPV)感染是导致多种癌症的主要风险因素。现役军人的 HPV 感染率高于平民,而退伍军人被诊断患有 HPV 相关癌症的比例也高于未服役的平民。虽然高效的人乳头瘤病毒疫苗已问世十多年,但美国的疫苗接种率仍然不尽如人意。本研究旨在调查男性和女性退伍军人与非退伍军人相比的 HPV 疫苗接种率:我们对 2015 年至 2018 年汇总的横截面全国健康访谈调查(NHIS)数据进行了二次分析,以分析 18-45 岁受访者的 HPV 疫苗接种率。我们使用多变量逻辑回归来比较退伍军人和非退伍军人之间的 HPV 疫苗接种率,按性别进行分层,同时控制社会人口学因素,包括年龄、种族/人种、教育水平、收入、保险覆盖率和退伍军人保险覆盖率。所有分析均使用 NHIS 调查加权得出全国估计值:在 45,493 名 18 至 45 岁的受访者中,所有群体的疫苗接种率都很低:9.6% 的男性退伍军人和 8.4% 的男性非退伍军人(P = .21)至少接种过一次 HPV 疫苗,而 32.0% 的女性退伍军人和 25.1% 的女性非退伍军人(P = .02)接种过疫苗。在控制了社会人口统计学因素后,与非退伍军人相比,男性退伍军人(AOR 1.79; 95%CI 1.31, 2.44)和女性退伍军人(AOR 1.56; 95%CI 1.1, 2.21)接种 HPV 疫苗的几率更高。退伍军人事务部的覆盖范围也与女性退伍军人接种 HPV 疫苗的几率较高独立相关(AOR 2.39;95%CI 1.10-5.21):结论:与非退伍军人的平民同行相比,男女退伍军人更有可能接种疫苗。然而,疫苗接种率总体上仍然很低。据我们所知,我们的研究是首次确定女性退伍军人中 HPV 疫苗接种率的同类研究。这些发现强调了国防部和退伍军人医疗保健系统在提高退伍军人 HPV 疫苗接种率和降低 HPV 相关癌症风险方面的重要作用。
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引用次数: 0
RE: Posting Holistic Health and Fitness Reels on Social Media Platforms to Improve Soldier Health in the Brigade. RE:在社交媒体平台上发布整体健康和健身短片,改善旅里士兵的健康状况。
IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-15 DOI: 10.1093/milmed/usae485
Amnuay Kleebayoon, Viroj Wiwanitkit
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引用次数: 0
Associations Between Sleep Disorders and Treatment Response in Service Members With Post-traumatic Stress Symptoms: A Secondary Outcome Analysis. 患有创伤后应激症状的军人睡眠障碍与治疗反应之间的关系:次要结果分析。
IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-15 DOI: 10.1093/milmed/usae484
Jane J Abanes, Sorana Raiciulescu
<p><strong>Introduction: </strong>Compared with the civilian population, a higher rate of reported sleep apnea exists among military service members resulting in inadequate sleep. Those who experience chronic sleep deprivation may suffer from debilitating problems that may compromise military mission readiness and unit safety. The purpose of the study on which this secondary outcome analysis was based was to evaluate the effect of manual standardized stress acupuncture as an adjunct therapy to an abbreviated form of cognitive behavioral therapy for insomnia for sleep disturbances in post-deployment service members. The aim of this secondary outcome analysis was 2-fold: (1) to assess the relationship between sleep disorder symptoms and post-traumatic stress symptoms (PSS) and (2) to determine if the presence of sleep disorder symptoms influenced the effects of acupuncture and cognitive behavioral therapy as compared to cognitive behavior therapy only on PSS) in post-deployment military service members.</p><p><strong>Materials and methods: </strong>The study was a 2-arm, single-center, randomized controlled trial approved by the Naval Medical Center San Diego and the Vanderbilt University Institutional Review Board. It was conducted at the U.S. Naval Hospital in Okinawa, Japan. Participants were active duty service members from all military branches who were stationed in Okinawa. Two measures were used to analyze the data: the Global Sleep Assessment Questionnaire (GSAQ) and the Post-traumatic Stress Disorder Checklist. A Pearson correlation coefficient was calculated to determine the relationship between sleep disorder symptoms (i.e., 11 pre-intervention GSAQ symptoms) and PSS treatment outcomes (i.e., PCL and PTSD clusters).</p><p><strong>Results: </strong>Results indicated associations between the GSAQ components and PCL total and PTSD cluster scores. Findings showed that the presence of sleep disorder symptoms influenced PSS treatment response in post-deployment military service members.</p><p><strong>Conclusions: </strong>Results from this secondary outcome analysis showed associations between GSAQ components (i.e., excessive daytime sleepiness, working conditions causing inadequate sleep, involuntary movements in sleep, and sadness or anxiousness) and PCL total and PTSD cluster scores (i.e., avoidance, negative cognition and mood, avoidance, and hyperarousal). Furthermore, sleep disorder symptoms such as having stressful working conditions (e.g., shift work), probable obstructive sleep apnea, insomnia, anxiety, and depression influenced PSS treatment responses. This study provided information on the major contribution of sleep disorder symptoms in the treatment of PSS through self-report. Future researchers should consider the use of physiologic measures to further understand the mechanisms of how sleep disorder symptoms affect treatment responses in service members with PSS. Implications for this study may assist clinicians in determining ef
导言:与平民相比,军人中报告的睡眠呼吸暂停导致睡眠不足的比例较高。那些长期睡眠不足的人可能会出现衰弱问题,从而影响军事任务准备和部队安全。本二次结果分析所依据的研究目的是评估手动标准化压力针灸作为失眠认知行为疗法简略形式的辅助疗法对部署后军人睡眠障碍的影响。这项次要结果分析有两个目的:(1)评估睡眠障碍症状与创伤后应激症状(PSS)之间的关系;(2)确定在部署后军人中,睡眠障碍症状的存在是否会影响针灸和认知行为疗法的效果(与认知行为疗法仅对 PSS 的效果相比):该研究是经圣地亚哥海军医疗中心和范德比尔特大学机构审查委员会批准的一项双臂、单中心、随机对照试验。试验在日本冲绳的美国海军医院进行。参与者为驻扎在冲绳的各军种现役军人。数据分析采用了两种测量方法:全球睡眠评估问卷(GSAQ)和创伤后应激障碍检查表。通过计算皮尔逊相关系数来确定睡眠障碍症状(即干预前的 11 项 GSAQ 症状)与 PSS 治疗结果(即 PCL 和创伤后应激障碍集群)之间的关系:结果:结果表明,GSAQ 组成部分与 PCL 总分和创伤后应激障碍群组得分之间存在关联。研究结果表明,睡眠障碍症状的存在会影响部署后军人的 PSS 治疗反应:这项次要结果分析的结果表明,GSAQ 成分(即白天过度嗜睡、导致睡眠不足的工作条件、睡眠中的不自主运动、悲伤或焦虑)与 PCL 总分和创伤后应激障碍群组得分(即回避、负面认知和情绪、回避和过度焦虑)之间存在关联。此外,工作压力大(如轮班工作)、可能患有阻塞性睡眠呼吸暂停、失眠、焦虑和抑郁等睡眠障碍症状也会影响 PSS 治疗反应。这项研究通过自我报告提供了睡眠障碍症状在 PSS 治疗中的主要作用。未来的研究人员应考虑使用生理测量方法来进一步了解睡眠障碍症状如何影响 PSS 服役人员治疗反应的机制。本研究的意义可能有助于临床医生为患有 OSA 和失眠症的人确定有效的 PSS 治疗方法。
{"title":"Associations Between Sleep Disorders and Treatment Response in Service Members With Post-traumatic Stress Symptoms: A Secondary Outcome Analysis.","authors":"Jane J Abanes, Sorana Raiciulescu","doi":"10.1093/milmed/usae484","DOIUrl":"https://doi.org/10.1093/milmed/usae484","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Compared with the civilian population, a higher rate of reported sleep apnea exists among military service members resulting in inadequate sleep. Those who experience chronic sleep deprivation may suffer from debilitating problems that may compromise military mission readiness and unit safety. The purpose of the study on which this secondary outcome analysis was based was to evaluate the effect of manual standardized stress acupuncture as an adjunct therapy to an abbreviated form of cognitive behavioral therapy for insomnia for sleep disturbances in post-deployment service members. The aim of this secondary outcome analysis was 2-fold: (1) to assess the relationship between sleep disorder symptoms and post-traumatic stress symptoms (PSS) and (2) to determine if the presence of sleep disorder symptoms influenced the effects of acupuncture and cognitive behavioral therapy as compared to cognitive behavior therapy only on PSS) in post-deployment military service members.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;The study was a 2-arm, single-center, randomized controlled trial approved by the Naval Medical Center San Diego and the Vanderbilt University Institutional Review Board. It was conducted at the U.S. Naval Hospital in Okinawa, Japan. Participants were active duty service members from all military branches who were stationed in Okinawa. Two measures were used to analyze the data: the Global Sleep Assessment Questionnaire (GSAQ) and the Post-traumatic Stress Disorder Checklist. A Pearson correlation coefficient was calculated to determine the relationship between sleep disorder symptoms (i.e., 11 pre-intervention GSAQ symptoms) and PSS treatment outcomes (i.e., PCL and PTSD clusters).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Results indicated associations between the GSAQ components and PCL total and PTSD cluster scores. Findings showed that the presence of sleep disorder symptoms influenced PSS treatment response in post-deployment military service members.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Results from this secondary outcome analysis showed associations between GSAQ components (i.e., excessive daytime sleepiness, working conditions causing inadequate sleep, involuntary movements in sleep, and sadness or anxiousness) and PCL total and PTSD cluster scores (i.e., avoidance, negative cognition and mood, avoidance, and hyperarousal). Furthermore, sleep disorder symptoms such as having stressful working conditions (e.g., shift work), probable obstructive sleep apnea, insomnia, anxiety, and depression influenced PSS treatment responses. This study provided information on the major contribution of sleep disorder symptoms in the treatment of PSS through self-report. Future researchers should consider the use of physiologic measures to further understand the mechanisms of how sleep disorder symptoms affect treatment responses in service members with PSS. Implications for this study may assist clinicians in determining ef","PeriodicalId":18638,"journal":{"name":"Military Medicine","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142469923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Observation on the Commentary Note in Military Medicine by MG Gale Pollock in May/June 2024 Issue. 对 Gale Pollock 军士长在 2024 年 5/6 月刊上发表的《军事医学》评论说明的看法。
IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-15 DOI: 10.1093/milmed/usae475
David P Dooley
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引用次数: 0
Comparing the Accuracy of Conventional Gypsum and 3D-Printed Dental Casts Using Three-Dimensional Analysis. 利用三维分析比较传统石膏牙模和三维打印牙模的精确度
IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-14 DOI: 10.1093/milmed/usae479
Bradley J Thomson, Eric Hu, Robert Masterson

Introduction: Dental impressions and casts play a critical role in dental care, facilitating diagnoses and the fabrication of prostheses. Traditional methods of fabrication involve elastomeric materials that are more prone to errors and patient discomfort. Digital advancements offer promising alternatives, yet their accuracy and applicability to military dentistry remain under-explored. This study evaluates the accuracy of digital casts produced with material available in the Military Health System compared to conventional methods.

Materials and methods: Using a digital (n = 10) and analog (n = 10) methodology casts were fabricated from a reference cast (n = 1). The reference and cast samples were scanned with a reference scanner to generate stereolithography files. These files were used to generate full arch, single crown, fixed dental prosthesis, and inlay digital casts which were then compared using a three-dimensional (3D) comparison software to evaluate accuracy. Root mean square values were obtained, giving a quantitative evaluation of the deviation of each sample from the reference cast. Statistical analysis consisted of a Shapiro-Wilk and Levene test to account for homogeneity of variances in each group. An ANOVA and Tukey post-hoc test were used to determine differences in accuracy among the full arch and a two-way ANOVA and Tukey post-hoc test evaluated differences in trueness among the casts of the individual preparations.

Results: Analog full arch casts had an average root mean square of 106 ±19.18 µm when examining trueness and 12 ±2.58 µm for precision. Digital full arch casts had an average root mean square of 51.9 ±5.39 µm when examining trueness and 4.2 ±1.57 µm for precision. Overall digital casts surpassed analog counterparts in accuracy. Fixed dental prostheses were found to be the only group, which showed no statistically significant difference between digital and analog.

Conclusion: These findings validate the potential of digital workflows in enhancing the speed and accuracy of dental care in the Military Health System, while underscoring the need for further exploration and refinement in specific clinical contexts.

简介牙模和石膏在牙科护理中发挥着至关重要的作用,有助于诊断和制作义齿。传统的制作方法使用的是弹性材料,容易出现误差和患者不适。数字技术的发展提供了前景广阔的替代方法,但其准确性和在军事牙科中的适用性仍未得到充分探索。与传统方法相比,本研究评估了使用军事卫生系统现有材料制作的数字化铸模的准确性:使用数字(n = 10)和模拟(n = 10)方法从参考铸型(n = 1)制作铸型。用参考扫描仪扫描参考和铸模样本,生成立体光刻文件。使用这些文件生成全牙弓、单冠、固定义齿和镶嵌数字铸模,然后使用三维(3D)比较软件对这些铸模进行比较,以评估准确性。获得的均方根值可定量评估每个样本与参考模型的偏差。统计分析包括 Shapiro-Wilk 和 Levene 检验,以确定各组的方差均一性。方差分析和Tukey事后检验用于确定全牙弓精确度的差异,双向方差分析和Tukey事后检验用于评估单个制备的铸模在真实度上的差异:模拟全牙弓模型的真实度平均均方根为 106 ±19.18 µm,精确度为 12 ±2.58 µm。数字全牙弓模型的真实度平均均方根为 51.9 ± 5.39 µm,精度为 4.2 ± 1.57 µm。总体而言,数字铸模的精确度超过了模拟铸模。结论:这些研究结果验证了数字化工作的潜力:这些发现验证了数字化工作流程在提高军事卫生系统牙科护理的速度和准确性方面的潜力,同时也强调了在特定临床环境中进一步探索和完善的必要性。
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引用次数: 0
A Description of the Dental Health and Treatment of Ukraine Military at U.S. Army Clinics in Germany. 驻德美军诊所对乌克兰军人牙齿健康和治疗情况的描述》(A description of the Dental Health and Treatment of Ukraine Military at U.S. Army Clinics in Germany)。
IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-12 DOI: 10.1093/milmed/usae480
Andres M Mendoza, John W Simecek, Paul M Colthirst, Timothy A Mitchener

Introduction: Since the start of the Russo-Ukrainian war, most reports have focused on trauma and combat conditions. Trauma care is essential; however, disease and nonbattle injuries (DNBIs) also burden armies and reduce combat effectiveness. Dental emergencies (DEs) account for a substantial portion of DNBI, but there is limited information on Ukrainian military dental readiness. In September 2023, investigators were informed that Ukrainian military personnel were treated for DEs at 2 dental clinics in Germany.

Materials and methods: The investigators requested deidentified data from the Corporate Dental System (CDS), which is a repository for dental treatment records utilized by the U.S. Army. The data request captured DE treatment performed for Ukrainian military personnel in Germany from January 1, 2023, to September 20, 2023. The CDS report on DE encounters included the following: Gender, age, procedure codes, and provider narratives. This study was approved by the U.S. Army Institute of Surgical Research Institutional Review Board as research not involving human subjects and provided Log Number H-24-030nh.

Results: The CDS report captured 408 Ukrainian military DE encounters. A total of 360 Ukrainian military personnel were treated for DE during the 9-month reporting period in 2023. Oral surgery was the most common DE treatment category and accounted for 55.8% (N = 201) of DE procedures. Restorative dentistry procedures accounted for 18.1% of DE procedures. Of the 27 multiple category treatments, 25 had oral surgery procedures as one of the treatments. Restorative dentistry procedures were performed in 19 of the multiple category cases.

Conclusions: The DEs in the Ukrainian military cohort suggest that chronic, untreated dental disease has progressed without routine care for years. The assertion that caries has progressed to a nonrestorable condition is supported by the distribution that 63% of all DE visits included oral surgery treatment. Based on the distribution of dental treatment, US dental officers must be proficient in oral surgery and prosthodontic care.

导言:自俄乌战争开始以来,大多数报告都集中在创伤和战斗状况上。创伤护理至关重要,但疾病和非战斗伤害(DNBIs)也会给军队造成负担并降低战斗力。牙科急症(DE)占非战斗性损伤的很大一部分,但有关乌克兰军队牙科准备情况的信息却很有限。2023 年 9 月,调查人员获悉乌克兰军人在德国的两家牙科诊所接受了牙科急症治疗:调查人员请求从企业牙科系统(CDS)中获取去身份化数据,该系统是美国陆军使用的牙科治疗记录存储库。数据请求记录了 2023 年 1 月 1 日至 2023 年 9 月 20 日期间在德国为乌克兰军人进行的牙科治疗。关于 DE 就诊的 CDS 报告包括以下内容:性别、年龄、手术代码和医疗服务提供者的叙述。本研究经美国陆军外科研究所机构审查委员会批准为不涉及人类受试者的研究,并提供了日志编号 H-24-030nh:CDS 报告记录了 408 次乌克兰军人 DE 就诊。在 2023 年的 9 个月报告期内,共有 360 名乌克兰军人接受了 DE 治疗。口腔外科是最常见的 DE 治疗类别,占 DE 治疗程序的 55.8%(N = 201)。牙科修复治疗占 DE 治疗的 18.1%。在 27 项多类别治疗中,有 25 项将口腔外科手术作为治疗方法之一。多类病例中有 19 例进行了牙科修复治疗:乌克兰军人队列中的龋齿病例表明,未经治疗的慢性牙病已发展多年,且未得到常规治疗。63%的就诊者接受了口腔外科手术治疗,这也证明了龋病已发展到无法修复的程度。根据牙科治疗的分布情况,美国牙科军官必须精通口腔外科手术和修复治疗。
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引用次数: 0
Response to Letter to Editor: Posting Holistic Health and Fitness Reels on Social Media Platforms to Improve Soldier. 回应致编辑的信:在社交媒体平台上发布整体健康和健身短片以提高士兵...
IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-12 DOI: 10.1093/milmed/usae486
Katelyn Culley, Elaina DaLomba
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引用次数: 0
Correction To: Improved Casualty Depiction System for Simulated Mass Casualty Exercises. 更正:用于模拟大规模伤亡演习的改进型伤亡描述系统。
IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-12 DOI: 10.1093/milmed/usae500
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引用次数: 0
期刊
Military Medicine
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